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NPI Code Detail

MEDICARE: DR. SARMISTHA MUKHERJEE M.D.

MEDICARE: DR. SARMISTHA MUKHERJEE M.D.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
12080A0000XPediatric Adolescent Medicine Physician235708NY

General Provider Information

NPI Number : 1417958570
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. SARMISTHA MUKHERJEE M.D.
Provider Business Mailing Address
First Line : 1025 NORTHERN BLVD
Second Line : SUITE 210
City : ROSLYN
State : NY
Zip : 11576-1506
Country : US
Telephone Number : 516-627-2200
Fax Number : 516-627-7826
Provider Business Practice Location Address
First Line : 85 W BURNSIDE AVE
Second Line :
City : BRONX
State : NY
Zip : 10453-4015
Country : US
Telephone Number : 718-483-1270
Fax Number : 718-228-7471
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/10/2005
Last Update Date : 02/22/2011

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